National Provider Identifier
Karyn Vacanti-Shova, PH.D., BCBA-D
Karyn Vacanti-Shova, PH.D., BCBA-D is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Fairport, NY and a listed phone number of (585) 377-6590.
Profile Overview
- NPI
- 1770854788
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- January 23, 2012
- Last Updated
- February 12, 2019
Practice Location
- 6 N Main St
- Suite 110
- Fairport, NY 14450-1524
Phone: (585) 377-6590
Mailing Address
- 21600 Oxnard St
- Suite 1800
- Woodland Hills, CA 91367-4976
Specialties
- Clinical Psychologist (103TC0700X)
- Behavior Analyst (103K00000X)
Full Record
- NPI
- 1770854788
- Entity Type
- Individual
- Last Name
- Vacanti-Shova
- First Name
- Karyn
- Name Prefix
- Dr.
- Credential
- PH.D., BCBA-D
- Mailing Street Address
- 21600 Oxnard St
- Mailing Address Line 2
- Suite 1800
- Mailing City
- Woodland Hills
- Mailing State
- CA
- Mailing ZIP Code
- 91367-4976
- Mailing Country
- US
- Mailing Phone
- (818) 345-2345
- Mailing Fax
- (818) 449-0994
- Practice Street Address
- 6 N Main St
- Practice Address Line 2
- Suite 110
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1524
- Practice Country
- US
- Practice Phone
- (585) 377-6590
- Practice Fax
- (585) 377-6605
- Enumeration Date
- January 23, 2012
- Last Updated
- February 12, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Behavior Analyst (103K00000X)